Thalassemia Complications and End-Organ Damage

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10 Questions

What percentage of patients with β-thalassemia developed at least one comorbidity over the 10-year follow-up period?

6%

What was the age group in which cardiac disease occurred in 64% of patients?

45-49 years

What was the most common cardiac condition in patients with β-thalassemia?

Atrial fibrillation

What was the source of data for the retrospective analysis?

National Health Service hospitals in England

How many patients with β-thalassemia were included in the study?

612

What was the time period for patient follow-up in the study?

10 years

What type of thalassemia may experience similar complications to β-thalassemia?

α-thalassemia

What was the reference for the study?

British Journal of Haematology

What serious complications can lead to end-organ damage in patients with β-thalassemia?

Transfusion and disease

What was the minimum number of blood transfusions required for patient inclusion in the study?

8

Study Notes

Transfusion-Dependent (TD) Patients with β-Thalassemia

  • TD patients with β-thalassemia are at risk of developing serious complications related to transfusion and disease, which can lead to end-organ damage.
  • Over 10 years, 7% of patients developed at least one comorbidity.

Comorbidities in TD Patients with β-Thalassemia

  • In the 45- to 49-year age group, cardiac disease occurred in 64% of patients.
  • The most common cardiac conditions were atrial fibrillation, heart failure, and acute arrhythmia.

Study Design

  • The study was a retrospective analysis using ICD-10 diagnosis codes in the Hospital Episode Statistics database.
  • The database included admissions and outpatient attendance at National Health Service hospitals in England.
  • The study recorded comorbidities and mortality in 612 TD patients with β-thalassemia.

Study Duration and Patient Follow-up

  • Patients were followed from their first hospital admission or outpatient appointment in 2009.
  • The follow-up period ended at death in hospital, last hospital admission, or last outpatient appointment in 2018.

α-Thalassemia Complications

  • Patients with α-thalassemia may experience complications similar to those of patients with β-thalassemia.
  • However, there are limited studies in TD patients with α-thalassemia.

This quiz explores the serious complications related to transfusion and disease in patients with β-thalassemia, leading to end-organ damage. Learn about the rates of complications over 10 years and the comorbidities that develop.

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